Aurora Counseling for Healing and Change
Organization Active NPI Clinical Social Worker · Monroe, GA
NPI 1346681889 · NPPES record last updated Aug 14, 2013
Key facts
- NPI
- 1346681889
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4209 (GA)
- Legal business name
- AURORA COUNSELING FOR HEALING AND CHANGE
- Practice address
- 137 N Midland Ave
Monroe, GA 30655-2327 - Phone
- (706) 224-3396
- Fax
- (678) 635-7152
- NPI assigned
- Jul 12, 2013
- Organization subpart
- No
Authorized official
- Name
- Angela M. Eells, LCSW
- Title
- Owner/Clinical Director
- Phone
- (706) 224-3396
National Provider Directory
Locations
111 Dolly St
Gray, GA 31032
Phone (478) 227-9430
137 N Midland Ave
Monroe, GA 30655
Phone (706) 224-3396
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 4209 | GA | Yes |
Addresses
Primary practice location
137 N Midland Ave
Monroe, GA 30655-2327
Mailing address
PO Box 546
Monroe, GA 30655-0546
Phone (706) 224-3396
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 586625625A | Medicaid | GA | |
| 003131803A | Medicaid | GA | |
| 586625625 C | Medicaid | GA |
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All providers in Monroe, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.